• Articles

    Hair Loss: Diagnosis and Treatment

    MaryAnn Dakkak, Klive M. Forde, Howard Lanney

    Hair loss is characterized as diffuse, patterned, or focal. Androgenetic alopecia is the most common form, for which topical minoxidil is first-line treatment.

    Urinary Catheter Management

    Kyle J. Fletke, Dae Hyoun Jeong, Alexander V. Herrera

    The three main types of urinary catheters are external urinary devices, clean intermittent catheterization, and indwelling urinary catheterization. Family physicians often aid in initial catheter choice, provide routine care, and address complications.

    Palpitations: Evaluation, Management, and Wearable Smart Devices

    Robert L. Gauer, Melanie F. Thomas, Ryan A. McNutt

    The presence of palpitations is associated with a low mortality rate, but routine palpitations can impair quality of life. A detailed history, focused physical examination, directed laboratory studies, and electrocardiography are often sufficient to identify the etiology of...

    Cushing's Syndrome: Rapid Evidence Review

    David L. Maness, Grant Studebaker, Christopher M. Knight

    Family physicians have an important role in recognizing the symptoms of Cushing's syndrome, ordering initial tests, referring patients to the appropriate specialists, and following up with patients and their families.

    Alzheimer Disease: Treatment of Cognitive and Functional Symptoms

    Ecler Ercole Jaqua, Mai-Linh N. Tran, Mary Hanna

    Approximately 6.9 million people in the United States 65 years and older live with Alzheimer disease, a number expected to double by 2060. Although there is no cure for Alzheimer disease, treatments are available to manage symptoms.

    Inside AFP

    AFP's Article of the Year

    Sumi Sexton

    We are pleased to honor authors for their excellent scholarly contributions to family medicine by presenting the AFP Article of the Year Award, which is selected based on the most online views and highest ratings from the AFP editors.

    Editorials

    Familial Hypercholesterolemia: Screening, Diagnosis, and Treatment

    Brian V. Reamy

    Screening for and diagnosing familial hypercholesterolemia in childhood can lead to treatment with lifestyle changes and medication, reducing the serious vascular effects of this dyslipidemia.

    Testing Infants and Children With Perinatal Exposure to Hepatitis C Virus

    Amy L. Sandul, Carolyn Wester, Lakshmi Panagiotakopoulos

    Early identification of hepatitis C exposure in infants can significantly improve outcomes.

    Medicine by the Numbers

    Decision Aids for Patients Facing Health Treatment or Screening Decisions

    Kento Sonoda, Jiti Uppugunduri

    Given the benefits of aids on decision-making without any significant harms, a color recommendation of green (benefits greater than harms) has been assigned for the use of decision aids for patients facing health treatment or screening decisions.

    Cochrane for Clinicians

    Surgical vs. Nonsurgical Treatment for Carpal Tunnel Syndrome

    Bless Jung, Jeffrey Leggit, Patient Perspective by John James

    Surgery for carpal tunnel syndrome probably results in some clinical improvement compared with splinting in the long term (more than 3 months), but it does not appear to lead to clinically significant improvement in symptoms or hand function. Similarly, surgery does not...

    Treatment Options for Morton Neuroma

    Dongsheng Jiang, Juan Qiu, Patient Perspective by John James

    In patients with Morton neuroma, combined corticosteroid/local anesthetic injection does not improve pain, function, or quality of life at 3 to 6 months vs. local anesthetic injection alone. More adverse events, including skin and plantar fat pad atrophy and hypopigmentation,...

    AFP Clinical Answers

    Breast Cancer, Nausea and Vomiting With Migraine, PCI for Stable Angina, Rosacea, Giving Bad News, Gallstone Disease

    Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

    Putting Prevention Into Practice

    Screening for Lipid Disorders in Children and Adolescents

    Brandy Peaker, Patrick Dideum, Irina Arkhipova-Jenkins, Evan Finlay

    This PPIP quiz is based on the recommendations of the USPSTF.

    U.S. Preventive Services Task Force

    Screening for Lipid Disorders in Children and Adolescents

    The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for lipid disorders in children and adolescents 20 years or younger.

    Diagnostic Tests

    CCTA to Evaluate for Coronary Artery Stenosis in Intermediate-Risk Patients With Stable Chest Pain

    Allison Karlan Kaplan, Nicholas Whitbeck

    CCTA is preferred over ICA for evaluation of stable chest pain in intermediate-risk patients without known CAD because it is noninvasive, widely available, and has high patient satisfaction and lower procedural complications.

    Lown Right Care

    Routine Vitamin D Testing: Unnecessary and Ineffective

    Andy Lazris, Alan Roth, Patient perspective by Helen Haskell, John James

    A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

    Point-of-Care Guides

    PREVENT Equations for Assessing Cardiovascular Risk

    Mark H. Ebell

    Using demographic and laboratory data, what is the best way to assess the likelihood that a patient will experience a cardiovascular event in the next 10 or 30 years?

    FPIN's Clinical Inquiries

    Intra-Articular Steroids for Adhesive Capsulitis

    Andrew K. Cunningham, Chih Kai (Kevin) Yang

    Intra-articular steroid injections inconsistently improve pain and function when used to treat adhesive capsulitis in the short term (less than 12 weeks) and medium term (less than 6 months). Ultrasound guidance improves accuracy of injection into the glenohumeral joint, but...

    Photo Quiz

    Nail Abnormality for Several Months

    Faith M. Butler

    A 73-year-old woman presented with a nail abnormality.

    Clavicle Deformity

    Cheyenne Smith, Andrew Wood, Morteza Khodaee

    A 20-year-old man presented with right shoulder pain.

    STEPS

    Resmetirom (Rezdiffra) for the Treatment of Noncirrhotic Nonalcoholic Steatohepatitis With Moderate to Advanced Fibrosis

    Smriti Ohri, Maria Summa

    Resmetirom may be considered in some patients with NASH, but it has not yet been shown to impact patient-oriented outcomes. Resmetirom is more expensive than alternative treatments and is not likely to be covered by all insurance plans.

    POEMs

    Continuous or Intermittent Glucose Monitoring Not Effective, Perhaps Harmful

    Allen F. Shaughnessy

    Opioid Prescriptions After Cesarean Delivery Can Be Reduced While Maintaining Satisfactory Pain Control

    Linda Speer

    Ultrasonography and CRP (Rule Out Only) Are the Most Useful Tools for Diagnosing Acute Diverticulitis That Are Feasible in Primary Care

    Mark H. Ebell

    Low Incidence of Pregnancy With Same-Day-Start Contraception

    Linda Speer

    Practice Guidelines

    Management of Chronic Coronary Disease: Guidelines From the American College of Cardiology and American Heart Association

    Andrew Buelt, Mitchell Selco, Bristal Thompson

    In 2023, the American College of Cardiology and American Heart Association released guidelines for management of chronic coronary disease, primarily for primary care physicians and cardiologists who provide care in the outpatient setting.

    Otitis Media With Effusion in Children: Guidelines From NICE

    Michael J. Arnold

    The UK National Institute for Health and Care Excellence (NICE) released guidelines for the evaluation and treatment of otitis media with effusion.



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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